Cistercian Preparatory School

STEP ONE
ENTER INFO
STEP TWO
CONFIRMATION
STEP THREE
RECEIPT

Mass Request

Please enter the number of Masses requested and the stipend per Mass. The “Calculate Total” button will calculate the amount your credit card will be charged (number of Masses times stipend per Mass).

You are able to submit Masses for up to three people on this form. If you need to submit additional Masses, please submit an additional form.

The customary stipend is $10 per Mass. Please know this is a free-will offering to help support the priests celebrating the Mass.

Questions? Contact Elissa Torretta at 972-438-2044.

Qty

Description

Amount

Total

Number of Masses

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Please enter the quantity of masses and amount per mass and click "Calculate Total."

Total: $0.00

Your First Name: *

Your Last Name: *

Billing Address: *

This is the address where your credit card statements are mailed.

Address 2:

City: *

State / Province: *

Zip Code: *

Country: *

Cell Phone:

E-mail: *

A receipt will be e-mailed to this address.

Name of person for whom the Mass will be said: *

Is this individual deceased? *

Please answer Yes or No

Requested date of Mass(es):

Mass Card:

If you want a card sent to someone, please enter their name and address here.

Second name of the person for whom the Mass will be said:

If requesting a Mass for multiple people.

Is this individual deceased?

Please answer Yes or No

Requested date of Mass(es)

Mass Card

If you want a card sent to someone, please enter their name and address here.

Third name of person for whom the Mass will be said:

If requesting a Mass for multiple people.

Is this individual deceased?

Please answer Yes or No

Requested date of Mass(es):

Mass Card

If you want a card sent to someone, please enter their name and address here.

Your Payment Information

Name on Card:

Card Number:

Security Code:

Expiration Date:

Name on Account:

Routing Number:

Account Number: